Handle assembly and stapler including the same

ABSTRACT

A handle assembly and a stapler including the same are provided. The handle assembly includes a first handle and a second handle having an un-linked state and a linked state. When the first handle and the second handle are in the un-linked state, and the first handle is rotated in a first direction, the second handle is not rotated, thereby to fire the stapler. When the first handle is in the linked state, and the first handle is rotated in the first direction, the second handle is actuated to rotate in the first direction to fire the stapler. During operation, no matter the stapler is ready to be fired or not, the first handle can be pressed to move by the doctor. However, when the stapler is not ready to be fired, the second handle is not actuated by the first handle, thereby will not fire the stapler.

CROSS-REFERENCE TO RELATED APPLICATIONS

This application is based upon PCT patent application No.PCT/CN2018/120122 filed on Dec. 10, 2018, which claims priority toChinese Patent Applications No. 201711434954.3 and No. 201721846446.1,filed on Dec. 26, 2017, the entire contents of which are incorporatedherein by reference.

TECHNICAL FIELD

The present disclosure relates to medical instruments' technology, moreparticularly, to stapler technology, and specifically to a handleassembly and a stapler including the same.

BACKGROUND

Digestive tract tumor is one of human diseases of high incidence. Duringtreatment a circular stapler is widely used for suturing physiologicaltissues such as tissues in the digestive tract, instead of the manualoperation by doctors. The circular stapler is a common surgicalinstrument, and used for suturing from end to end, or from end to sideof the physiological tissues of esophagus, stomach, intestine, etc., ina way of axial internal stapling. During the process of anastomoses, twosections of tissues are accommodated in the stapler, and form a circularanastomotic stoma after firing the stapler, to rebuild a tissue channel.

In the prior art, the circular stapler includes an instrument body, ahandle assembly movably connected to the instrument body and an anvilassembly cooperated with the instrument body. The instrument bodyincludes a cartridge assembly located on a distal end and a knob locatedon a proximal end thereof. The cartridge assembly includes a circularcartridge and a cutter, and the knob can be rotated relative to theinstrument body. In the present disclosure, the positions of the distalend and the proximal end are defined relative to an operator, wherein,the proximal end is an end closer to the operator, the distal end isanother end far from the operator and closer to a surgical position. Theanvil assembly includes an anvil, an anvil cap on the top of the anvil,a cutter anvil inside the anvil and an anvil shaft detachably connectedto the instrument body. During operation, after the tumor tissues areseparated and removed, the anvil shaft is connected to the distal end ofinstrument body through a purse on one end of the tissues, the knob isrotated to shorten a distance between the cartridge and the anvil to anappropriate distance. The stapler is then able to be fired by pressingthe handle to accomplish the suturing operation. Along with thedevelopment of medical instruments, the circular stapler has been moreand more widely used for treatment of diseases such as hemorrhoids.

Meanwhile, in urinary surgical field, another kind of circular stapleris also applied to treat redundant prepuce and phimosis, which is calledcircumcision stapler. The structure of the circumcision stapler issimilar to the circular stapler for digestive tract as aforementioned,except for the glans cap assembly cooperated with the instrument body.Similarly, the glans cap assembly includes an anvil, a glans cap fixedlyconnected to the anvil, a cutter anvil and a central rod detachablyconnected to the instrument body. During operation, the prepuce tissuesto be cut are fixed to the glans cap, the central rod is configured tothe distal end of the instrument body, and the knob is rotated toshorten a distance between the glans gap and the cartridge to anappropriate distance. The stapler is then able to be fired by pressingthe handle to accomplish the anastomosis.

Along with the technological development, the firing transmissionmechanism of the circular stapler has been improved with a lockoutmechanism added. Therefore, when the stapler is not ready to be fired,even the doctor presses the handle, the handle cannot be moved for thelockout mechanism, to prevent the stapler from being fired by mistake.However, in practice, the lockout mechanism has some defects. Forexample, the lockout mechanism has some negative impacts on theoperators' experience, and the casing of the stapler may be cracked ifthe doctor presses the handle vigorously.

SUMMARY

In the light of the problems in the prior art, the object of the presentdisclosure is to provide a handle assembly and a stapler including thesame, to realize that, the first handle can be pressed by the doctor tomove no matter whether the stapler is ready to be fired or not, while,the stapler cannot be fired by the first handle through the secondhandle when the stapler is not ready to be fired, and to prevent thecasing from being cracked by pressing the handle vigorously.

In the present disclosure, a handle assembly to fire the stapler isprovided, the handle assembly includes a first handle and a secondhandle. Wherein, the first handle is rotatable relative to the secondhandle, and the first handle and the second handle have an un-linkedstate and a linked state. When the first handle and the second handleare in the un-linked state, and the first handle is rotated in a firstdirection, the second handle is not rotated, and the stapler isconfigured not to be fired; when the first handle and the second handleare in the linked state, and the first handle is rotated in the firstdirection, the second handle is rotated along with the first handle inthe first direction, to fire the stapler.

In some embodiments, a first end of the first handle is a holdingportion, a second end of the first handle is rotatably connected to afirst end of the second handle; when the second handle is rotated in thefirst direction, a second end of the second handle is configured to pusha staple pushing rod of the staple, to fire the stapler.

In some embodiments, the first handle and the second handle are rotatedaround a same center, or, the first handle and the second handle arerotated around two centers, respectively.

In some embodiments, the handle assembly further includes: an indicator,movable between a first position area and a second position area; anelastic portion provided on the first handle, the elastic portion havinga first state and a second state, when the indicator is moved from thefirst position area to the second position area, the indicator being incontact with the elastic portion to actuate the elastic portion toswitch from the first state to the second state; wherein, when theelastic portion is in the first state, and the first handle is rotatedin the first direction, the elastic portion is not in contact with thesecond handle, and the second handle is in an insurance position; whenthe elastic portion is in the second state, and the first handle isrotated in the first direction, the elastic portion is in contact withthe second handle to move the second handle from the insurance positionto a firing position.

In some embodiments, the indicator is connected to a distal end of apulling sheet, a proximal end of the pulling sheet is sleeved on a screwrod, a distal end of the screw rod is provided with a knob, when theknob is rotated to move the pulling sheet towards a proximal end of thestapler, the pulling sheet actuates the indicator to move from the firstposition area to the second position area.

In some embodiments, the first handle is rotatably connected to thesecond handle through a first pin, and the second handle is rotatablyconnected to a casing of the stapler through a second pin.

In some embodiments, a first torsion spring and a second torsion springare sleeved on the first pin and the second pin, respectively, two endsof the first torsion spring are in contact with the first handle and thesecond handle, respectively, two ends of the second torsion spring arein contact with the second handle and the casing of the stapler.

In some embodiments, the elastic portion includes an elastic cavityhaving two side walls and having a contracted state and an extendedstate; when the indicator is move from outside to inside of the elasticcavity, the elastic cavity is actuated to switch from the contractedstate to the extended state.

In some embodiments, a first end of the second handle is provided with asecond cavity having two side walls; when the first handle is rotated inthe first direction, and the elastic cavity is in the contracted state,the elastic cavity is configured to at least partially enter into thesecond cavity; when the first handle is rotated in the first direction,and the elastic cavity is in the extended state, end surfaces of theside walls of the elastic cavity are in contact with those the secondcavity, to prevent the elastic portion from continuing to enter into thesecond cavity.

In some embodiments, the end surfaces of the side walls of the elasticcavity are first guiding surfaces, having an angle less than 90°relative to the side walls of the elastic cavity, and the end surfacesof the side walls of the second cavity are second guiding surfacesparallel to the first guiding surfaces.

In some embodiments, the elastic cavity includes a contacting section, aprotruding section and a guiding section, the protruding section islocated between the contacting section and the guiding section, adistance between side walls of the protruding section is less than awidth of the indicator, and a distance between side walls at an end ofthe guiding section is larger than the width of the indicator, to guidethe indicator to enter into the protruding section.

In some embodiments, the contacting section, the protruding section andthe guiding section of the elastic cavity form an integrated body, andthe side walls of the elastic cavity smoothly transit from theprotruding section to the guiding section.

In some embodiments, a second end of the first handle is provided with afirst cavity, the first cavity and the elastic cavity form an integratedbody and are connected with each other.

In some embodiments, the elastic cavity includes a contacting sectionand an elastic section, a second end of the first handle is providedwith a first cavity, the elastic section is inserted into the firsthandle, while end surfaces of side walls at the contacting section arelocated outside the first cavity; when the indicator is moved from theoutside to the inside of the elastic section, the side walls at theelastic section and the contacting section are all extended towards bothsides.

In some embodiments, the elastic cavity further includes a connectingsection, the elastic section is located between the contacting sectionand the connecting section, the connecting section is inserted into thefirst cavity, and the connecting section is fixed to the first cavitythrough a fastener.

In some embodiments, the indicator is rotatably fixed to inside of acasing of the stapler, the indicator is rotated from the outside to theinside of the elastic cavity in a second direction, which is in contraryto the first direction.

In some embodiments, the elastic portion includes an elastic sheet, whenthe indicator is moved from the first position area to the secondposition area, the elastic sheet is pushed by the indicator to inclinetowards one side, therefore, when the first handle is rotated in thefirst direction, the elastic sheet is in contact with the second handle.

In some embodiments, the first handle includes a first cavity having twoside walls, the handle assembly further includes: an indicator, movablebetween a first position area and a second position area; two slots,provided on the first handle and on the two side walls of the firstcavity, respectively, each of the slot having a first section and asecond section connected with each other; a slider, having two slidingportions corresponding to the two slots and a slider guiding portion inbetween, the two sliding portions slidably inserted in the correspondingslot, and a return torsion spring for the slider provided between theslider and the second handle; when the indicator is moved from the firstposition area to the second position area, the slider configured to movefrom the first section to the second section of the slot, to deform thereturn torsion spring; wherein, when the slider is in the first sectionof the slot, and the first handle is rotated in the first direction, theslider is not in contact with the second handle, and, the second handleis in an insurance position; when the slider is in the second section ofthe slot, and the first handle is rotated in the first direction, theslider guiding portion is in contact with the second handle and actuatesthe second handle to move from the insurance position to a firingposition.

In some embodiment, the second handle includes a second cavity havingtwo side walls, the handle assembly further includes: an indicator,movable between a first position area and a second position area; a rodhaving a first end connected to the indicator and a second end; twoslots, provided on the two side walls of the second cavity,respectively; and a slider, having two sliding portions corresponding tothe two slots and a slider guiding portion in between, each of thesliding portions slidably located in the corresponding slot, the sliderconnected to the second end of the rod, and a return torsion spring forthe slider provided between the slider and the first handle; when theindicator is moved from the first position area to the second positionarea, the slider configured to be moved by the indicator, through therod, from the first section to the second section of the slot, to deformthe return torsion spring; wherein, when the slider is in the firstsection of the slot, and the first handle is rotated in a firstdirection, the first handle is not in contact with the slider, and thesecond handle is in an insurance position; when the slider is in thesecond section of the slot, and the first handle is rotated in the firstdirection, the first handle is in contact with the sliding portion andactuates the second handle to move from the insurance position to afiring position.

In some embodiment, the handle assembly further includes a first pinpassing through the first handle and the second handle, around which thefirst handle and the second handle are configured to be rotated.

In the present disclosure, a stapler is provided including the handleassembly as aforementioned.

The handle assembly and the stapler including the same has the followingadvantages.

In the present disclosure, the handle assembly includes a first handleand a second handle, and only the movement of the second handle can firethe stapler to cut and suture tissues; during operation, the firsthandle can be pressed by the doctor to move no matter whether thestapler is ready to be fired or not, while, the stapler cannot be firedby the first handle through the second handle when the stapler is notready to be fired. The doctor can judge whether the stapler is ready tobe fired or not according to his operation experience. The stapler canonly be fired by the first handle through the second handle when thestapler is ready to be fired. The casing can be prevented from beingcracked by pressing the handle vigorously, and the operators' experienceis improved.

BRIEF DESCRIPTION OF THE DRAWINGS

Embodiments of the present disclosure will now be described, by way ofexample only, with reference to the accompanying schematic drawings, andthe other technical features, objects and advantages will be moreobvious.

FIG. 1 is a schematic view of a handle assembly used in a stapleraccording to a first embodiment of the present disclosure;

FIG. 2 is a schematic view of a circular stapler according to the firstembodiment of the present disclosure;

FIG. 3 is a schematic view of the handle assembly used for acircumcision stapler according to the first embodiment of the presentdisclosure;

FIG. 4 is a section view along A-A direction of FIG. 1;

FIG. 5 is a schematic view of the handle assembly when an indicator isoutside an elastic portion, and a first handle is not pressed, accordingto the first embodiment of the present disclosure;

FIG. 6 is a section view along A1-A1 direction of FIG. 5;

FIG. 7 is a section view along B-B direction of FIG. 5;

FIG. 8 is a section view along C1-C1 direction of FIG. 5;

FIG. 9 is a schematic view of the handle assembly when the indicator isoutside the elastic portion, and the first handle is pressed, accordingto the first embodiment of the present disclosure;

FIG. 10 is a section view along A2-A2 direction of FIG. 9;

FIG. 11 is a schematic view of the handle assembly when the indicator isinside the elastic portion, and the first handle is not pressed,according to the first embodiment of the present disclosure;

FIG. 12 is a section view along A3-A3 direction of FIG. 11;

FIG. 13 is a section view along C2-C2 direction of FIG. 11;

FIG. 14 is a schematic view of the handle assembly when the indicator isinside the elastic portion, and the first handle is pressed, accordingto the first embodiment of the present disclosure;

FIG. 15 is a section view along A4-A4 direction of FIG. 14;

FIG. 16 is a schematic view of an elastic portion according to a secondembodiment of the present disclosure;

FIG. 17 is a side view of the elastic portion according to the secondembodiment of the present disclosure;

FIG. 18 is a schematic view of the handle assembly when the indicator isoutside the elastic portion, and the first handle is not pressed,according to the second embodiment of the present disclosure;

FIG. 19 is a section view along D1-D1 direction of FIG. 18;

FIG. 20 is a schematic view of the handle assembly when the indicator isoutside the elastic portion, and the first handle is pressed, accordingto the second embodiment of the present disclosure;

FIG. 21 is a section view along D2-D2 direction of FIG. 20;

FIG. 22 is a schematic view of the handle assembly when the indicator isinside the elastic portion, and the first handle is not pressed,according to the second embodiment of the present disclosure;

FIG. 23 is a section view along D3-D3 direction of FIG. 22;

FIG. 24 is a schematic view of the handle assembly when the indicator isinside the elastic portion, and the first handle is pressed, accordingto the second embodiment of the present disclosure;

FIG. 25 is a section view along D4-D4 direction of FIG. 24;

FIG. 26 is a schematic view of an elastic portion of the handle assemblyin a first state according to a third embodiment of the presentdisclosure;

FIG. 27 is a schematic view of the elastic portion of the handleassembly in a second state according to the third embodiment of thepresent disclosure;

FIG. 28 is a schematic view of a handle assembly in an initial stateaccording to a fourth embodiment of the present disclosure;

FIG. 29 is a stereogram of the handle assembly according to the fourthembodiment of the present disclosure;

FIG. 30 is a schematic view of a slider according to the fourthembodiment of the present disclosure;

FIG. 31 is a schematic view of the handle assembly in an invalid stateaccording to the fourth embodiment of the present disclosure;

FIG. 32 is a schematic view of the handle assembly in a firing stateaccording to the fourth embodiment of the present disclosure;

FIG. 33 is a schematic view of the handle assembly in a firing stateaccording to the fourth embodiment of the present disclosure;

FIG. 34 is a schematic view of a handle assembly in an initial stateaccording to a fifth embodiment of the present disclosure;

FIG. 35 is a schematic view of the handle assembly in an invalid stateaccording to the fifth embodiment of the present disclosure;

FIG. 36 is a schematic view of the handle assembly in a firing stateaccording to the fifth embodiment of the present disclosure;

FIG. 37 is a schematic view of a handle assembly according to a sixthembodiment of the present disclosure.

DETAILED DESCRIPTION

In the following, embodiments of the present disclosure will bedescribed in detail with reference to the figures. The concept of thepresent disclosure can be implemented in a plurality of forms, andshould not be understood to be limited to the embodiments describedhereafter. In contrary, these embodiments are provided to make thepresent disclosure more comprehensive and understandable, and so theconception of the embodiments can be conveyed to those skilled in theart fully. Same reference signs in the figures refer to same or similarelements, so repeated description of them will be omitted.

The present disclosure provides a new handle assembly used for firing astapler. To realize the object as aforementioned, the handle assembly isdivided into a first handle 1 rotatable under an external force and asecond handle capable of firing the stapler when rotated in a certaindirection. Wherein, the first handle and the second handle have anun-linked state and a linked state. When the first handle and the secondhandle are in the un-linked state, and the first handle is rotated in afirst direction, the second handle is not rotated, thereby will not firethe stapler. When the first handle and the second handle are in thelinked state, and the first handle is rotated in the first direction,the second handle is rotated along with the first handle in the firstdirection, to fire the stapler.

Therefore, in the present disclosure, the handle assembly is dividedinto the first handle and the second handle, and only the movement ofthe second handle can fire the stapler to execute cutting and suturingactions; during operation, the first handle can be pressed by the doctorto move no matter whether the stapler is ready to be fired or not,while, the stapler cannot be fired by the first handle through thesecond handle when the stapler is not ready to be fired.

The structure of the handle assembly of the present disclosure will befurther described with some embodiments. It should be noted that, theembodiments are described to better illustrate the structure and workingstate of the handle assembly of the present disclosure, and shouldn't bea limit to the scope of the present disclosure.

First Embodiment

As shown in FIG. 1, in the first embodiment, the handle assembly furtherincludes an indicator 4 controlling the linkage state between the firsthandle 1 and the second handle 2.

The indicator has a first end 41, a second end 42 connected to a distalend of a pulling sheet and a fixed end 43. A proximal end of the pullingsheet is sleeved on a screw rod, and a proximal end of the screw rod isconnected to a knob. The knob can be rotated to actuate the second end42 of the indicator to move between a first position area and a secondposition area through the pulling sheet. Wherein, a window is providedon the instrument body, between the first position area and the secondposition area, through which the position of the second end 42 of theindicator can be observed during operation. When the second end 42 ofthe indicator is in the first position area, the stapler is in aninsurance state and not ready to be fired. When the second end 42 of theindicator is in the second position area, the stapler is ready to befired. To give a more obvious indication to the doctor, the secondposition area L indicating the stapler being ready to be fired iscolored green, which is already existed in the prior art.

The first handle 1 is provided with an elastic portion 3. When thesecond end 42 of the indicator 4 is moved from the first position areato the second position area, the first end 41 of the indicator 4 is incontact with and actuate the elastic portion 3 to switch from a firststate to a second state. The first state refers to the state of theelastic portion 3 before being contact with the indicator 4. The secondstate refers to the state of the elastic portion 3 in contact with theindicator 4.

When the elastic portion 3 is in the first state, and the first handle 1is rotated in the first direction, the elastic portion 3 is not incontact with the second handle 2, and the second handle 2 is in aninsurance position, thereby will not fire the stapler. When the elasticportion 3 is in the second state, and the first handle 1 is rotated inthe first direction, the elastic portion 3 is in contact with the secondhandle 2 to move the second handle 2 from the insurance position to afiring position. At this time, the elastic portion 3 can push the secondhandle 2 to fire the stapler. In FIG. 1, the first direction refers to adirection anticlockwise.

When the second end 42 of the indicator 4 is in the first position areaand the second position area, the movement of the first handle 1 hasdifferent effects on the second handle 2. When the second end 42 of theindicator 4 is in the first position area, as the elastic portion 3 isin the first state, the elastic portion 3 will not be in contact withthe second handle 2 during moving, and will not apply forces on thesecond handle 2, therefore, the second handle 2 is still kept in itsinitial position and will not fire the stapler. When the second end 42of the indicator 4 is in the second position area, as the elasticportion 3 is in the second state, when the elastic portion 3 is rotatedalong with the first handle 1, the second handle 2 will be pushed tofire the stapler. Therefore, by changing the position of the indicator4, the cooperation relationship between the first handle 1 and thesecond handle 2 can be adjusted.

In summary, when the stapler is not ready to be fired, the second end 42of the indicator 4 is in the first position area. At this time, thefirst handle 1 can be rotated easily when pressed by the doctor, whilethe second handle 2 will not be actuated. Therefore, the stapler is inan invalid firing state, and the first handle can be rotated by a verysmall force. The doctor can also know the stapler is in the invalidfiring state according to the operation experience and the casing of thestapler will not be cracked. When the stapler is ready to be fired, thesecond end 42 of the indicator 4 is in the second position area, i.e.the area indicating the stapler being ready to be fired. At this time,when the doctor presses the first handle 1, the first handle 1 willactuate the second handle 2 to move, thereby to fire the stapler.

FIG. 2 is a schematic view of the handle assembly used for the stapleraccording to the first embodiment of the present disclosure, in which acircular stapler is shown. One end of the stapler is provided with acartridge assembly 72 and an anvil assembly 73, the other end of thestapler is provided with a knob 71 and the handle assembly. A second endof the second handle 2 is cooperated with a proximal end of a staplepushing rod 75. When the stapler is ready to be fired, the second handlecan push the staple pushing rod 75, to push the staple pushing sheet andcircular cutter of the stapler, thereby suturing and cutting issues.FIG. 2 only shows the structure of the stapler as an example, in otherembodiments, the handle assembly can also be used in other kinds ofstaplers to realize the object of the present disclosure. For example,FIG. 3 is a schematic view of an instrument body 9 of a circumcisionstapler including the handle assembly. The instrument body 9 of thecircumcision stapler includes a cartridge assembly 91, and a glans cap(not shown in the FIGS.) cooperated with the cartridge assembly 91. Thesecond handle 2 is movably connected to one end of the circumcisionstapler, the second end of the second handle 2 is cooperated a staplepushing component of the circumcision stapler. When the stapler is readyto be fired, the staple pushing component is pushed by the second handle2 to fire the circumcision stapler.

In the FIGS. of the present disclosure, to clearly shown the structureof the handle assembly, a casing of the handle assembly is omitted.

FIG. 4 is a section view along A-A direction of FIG. 1 and schematicallyshows the connecting relationship of the handle assembly according tothe first embodiment of the present disclosure. A first end 11 of thehandle assembly 1 is a holding portion to be held by the doctor duringoperation. A second end 12 of the first handle 1 can be rotatablyconnected to a first end 21 of the second handle 2 through a first pin14, the second end 22 of the second handle 2 is rotatably connected tothe casing 74 of the stapler through a second pin 24. A first torsionspring 15 sleeved on the first pin 14 is located between the firsthandle 1 and the second handle 2. A second torsion spring 25 sleeved onthe second pin 24 is located between the second handle 2 and the casing74 of the stapler. Therefore, when the elastic portion 3 is in the firststate, the stapler is in the insurance state, the first handle can berotated anticlockwise around the first pin 14 by the operator with asmaller force, and is returned to its initial position clockwise by thefirst torsion spring 15 after the external force is released. At thistime, the second handle is not rotated. When the elastic portion 3 is inthe second state, the rotation of the first handle 1 will actuate thesecond handle 2 to rotate anticlockwise around the second pin 24, andthe second handle 2 can be returned to its initial position clockwise bythe second torsion spring 25.

The connecting structure between the first handle and the second handleof the handle assembly is only described here as an example. In otherembodiments, the first handle and the second handle can be connected inother ways, for example, the quantity of the torsion springs can bedecreased or increased, the positions of the torsion springs can bechanged etc., which are all within the scope of the present disclosure.

FIGS. 5-8 are combined to describe the structure of the elastic portion3 of the first embodiment of the present disclosure. As shown in FIG. 5,the elastic portion 3 is in the first state, and the first handle 1 isin its initial position. In the first embodiments, the second handle 2is provided with a second cavity 23, the elastic portion 3 is providedwith an elastic cavity 31 having two side walls. When the elastic cavity31 is in the first state and the second state, the elastic cavity 31 isin a contracted state and an extended state, respectively. When thesecond end 42 of the indicator is in the first position area and thesecond position area, the first end 41 of the indicator is outside andinside the elastic cavity, respectively. A width of the indicator 4 islarger than a distance between the side walls of the elastic cavity 31.The width of the indicator 4 refers to the width of the indicator 4along a direction perpendicular to the side walls of the elastic cavity31. When the first end 41 of the indicator 4 is moved from the outsideto the inside of the elastic cavity 31, the side walls of the elasticcavity are pressed by the indicator 4, to extend towards both sides.FIG. 8 shows the elastic cavity 31 in the contracted state when thefirst end 41 of the indicator 4 is outside the elastic cavity 31. Asshown in FIGS. 5-8, when the elastic cavity 31 is in the contractedstate, end surfaces of the side walls of the elastic cavity 31 will notinterfere with those of the second cavity 23.

As shown in FIGS. 9-10, the elastic portion 3 is in the first state andthe first handle 1 is rotated anticlockwise. As the end surfaces of theside walls of the elastic cavity 31 will not interfere with those of thesecond cavity 23, the elastic portion 3 can at least partially entersinto the second cavity 23 (the size of the elastic portion 3 enteringinto the second cavity 23 varies with degree of pressing). Further, asthe degree of pressing is increased, the second end 12 of the firsthandle 1 can also partially enter into the second cavity 2. Therefore,the first handle 1 will not apply forces on the second handle 2, and thesecond handle 2 is still kept in the insurance position, thereby willnot fire the stapler. As a torsion force of the first torsion spring 15is much less than a firing force, the force applied on the first handle1 is only to overcome the torsion force of the first torsion spring 15.The doctor can also get the tactile feedback to know that the indicator4 is not in the second position area, and the stapler is not fired.

As shown in FIGS. 11-13, the elastic portion 3 is in the second state,and the first handle 1 is in its initial position. It can be seen bycontrasting FIG. 13 and FIG. 8 that, when the indicator 4 enters theelastic cavity 31, the elastic cavity 31 will be squeezed, to make theside walls of the elastic cavity 31 to extend towards both sides.Therefore, the elastic cavity 31 is switched into the extended state. Itcan be seen by combining FIG. 12 and FIG. 13 that, at this time, the endsurfaces of the side walls of the elastic cavity 31 will interfere withthose of the second cavity 23. When contact surfaces between the elasticcavity 31 and the second cavity 23 are moved relative to each other, aforce F1 and a force F2 are formed to form a driving torque M for thesecond handle 2.

Further, as shown in FIG. 13, the elastic cavity 31 can include acontacting section 32, a protruding section 33 and a guiding section 34,and the protruding section 33 is located between the contacting section32 and the guiding section 34. Side walls at the protruding section 33protrude towards the inside of the elastic cavity 31, and a distancebetween side walls at an end of the guiding section 34 is larger thanthe width of the indicator 4. Therefore, the guiding section 34 isconfigured for guiding the indicator 4 to enter into the protrudingsection 33. When the indicator 4 enters into the protruding section 33,the side walls at contacting section 32 and the protruding section 33are all extended towards both sides. End surfaces of the side walls ofthe contacting section 32 refer to those of the elastic portion 3.Further, the contacting section 32, the protruding section 33 and theguiding section 34 of the elastic cavity 31 form an integrated body, andthe side walls of the elastic cavity 31 smoothly transit from theprotruding section 33 to the contacting section 32, to guide theindicator 4 to move smoothly in the elastic cavity 31.

As shown in FIG. 14, the elastic portion is in the second state, and thefirst handle 1 is rotated anticlockwise. The fixed end 43 of theindicator 4 is rotatably fixed to inside of the casing of the stapler,the first end 41 of the indicator 4 is rotated from the outside to theinside of the elastic cavity 31 in a second direction, wherein, thesecond direction is a clockwise direction shown in FIG. 14. The endsurfaces of the side walls of the elastic cavity 31 and those of thesecond cavity 23 are inclined surfaces parallel with each other and usedfor guiding. Therefore, after the first end 41 of the indicator 4 entersinto and opens up the elastic cavity 31, if the first handle is pressedby the doctor, the end surfaces of the side walls of the elastic cavity31 will apply forces on those of the second cavity 23. Under the forces,the distance between the side walls of the elastic cavity 31 will belarger than that before the first handle is pressed, i.e., larger thanthe width of the indicator 4. As the first handle 1 continues to rotate,the indicator 4 will depart from the contacting section 32 of theelastic cavity 31. When the firing of the stapler is completed, and thepulling sheet is lifted by the second end of the first handle 1, theindicator is free of the forces from the elastic cavity 31 and isreturned to its initial position. When the elastic portion 3 is in theextended state, the end surfaces of the side walls of the elastic cavity31 will interface those of the second cavity 23. When the elasticportion 3 is moved, the elastic portion 3 will not enter the secondcavity 23, but be in contact with and apply forces on the end surfacesof the side walls of the second cavity 23. The second handle 2 isrotated by the driving torque M, to actuate the second handle 2 to reachthe firing position, thereby to fire the stapler.

During firing, the first handle 1 is rotated to lift the pulling sheet,to depart from the indicator 4. The indicator 4 can return to itsinitial state by a return spring (not shown in the FIGS.). For thereason that the elastic portion 3 is not supported by the indicator 4,when the first handle 1 is released, and the first handle 1 is returnedto its initial position clockwise by a returning force of the firsttorsion spring 15, the second handle 2 will also be returned to theinsurance position clockwise by a returning force of the second torsionspring 25.

Further, the end surfaces of the side walls of the elastic cavity 31 arefirst guiding surfaces having an angle less than 90° relative to theside walls of the elastic cavity 31, and the end surfaces of the sidewalls of the second cavity 23 are second guiding surfaces parallel tothe first guiding surfaces. That is to say, inclined surfaces used forguiding are provided at the corresponding positions of the elasticcavity 31 and the second cavity 23, which will increase an effectivecooperation length between the elastic cavity 31 and the second cavity23 to increase the operation reliability. At the same time, the staplercan be reset after the firing is completed.

Further, the elastic cavity 31 and the second end 12 of the first handle1 can form an integrated body. For example, a first cavity 13 can beformed on the second end 12 of the first handle 1 by punching press ,which is connected with the elastic cavity 31.

As shown in FIG. 14, when the second end 42 of the indicator 4 is in thefirst position area, the first end 41 of the indicator 4 is not insidethe elastic cavity 31, when the second end 42 of the indicator 4 is inthe second position area L, the first end 41 of the indicator 4 entersinto the elastic cavity 31. After the firing is completed, the secondend 42 of the indicator 4 can be returned to the first position areaalong a direction shown as R in FIG. 14. That is to say, when the firstend 41 of the indicator 4 is departed from the inside of the elasticportion 31, the elastic portion 31 is returned to the contracted stateand will no longer interfere with the second handle 2. When the externalforce on the first handle 1 is released, the first handle 1 is returnedto its initial position by the first torsion spring 15, and the secondhandle 2 will be returned to the insurance position by the secondtorsion spring 25.

Second Embodiment

FIGS. 16-25 are schematic views of a handle assembly according to thesecond embodiment of the present disclosure. The difference from thefirst embodiment is that, the elastic portion is provided as anindependent component. This is because that forming the elastic portionand the first handle in the integrated body has a high demand inmanufacturing process and will bring an increased manufacturing cost.

FIGS. 16-19 show schematically the structure of the elastic portion 5according to the second embodiment. The elastic portion 5 is providedwith an elastic cavity having a contacting section and an elasticsection 52, the second end 12 of first handle 1 is provided with thefirst cavity 13, in which the elastic section 52 is inserted. Endsurfaces of the contacting section are outside the first cavity 13 ascontacting end surfaces 51, and the contracting end surfaces 51 are incontact with the end surfaces of the side walls of the first cavity 13.Similarly, when the indicator 6 is moved from outside of the elasticcavity to inside of the elastic section 52, the side walls at theelastic section 52 and the contacting section extend towards both sides,therefore, the contacting end surfaces 51 also extend towards bothsides. Selectively, the elastic cavity further includes a connectingsection 53 inserted into and fixed to the first cavity 13, and theelastic section 52 is located between the contacting section and theconnecting section 53. The connecting section 53 is fixed to the firstcavity 13 through a fastener, for example, the connecting section 53 canbe fixed to the first cavity 13 through a hole on the side wall of thefirst handle 1.

FIG. 18 is a schematic view of the handle assembly when the indicator 6is outside the elastic portion 5 and the first handle 1 is not pressed,according to the second embodiment. At this time, the elastic portion 5is in the contracted state, and the first handle 1 is in its initialposition. FIG. 19 is a section view of FIG. 18 along D1-D1 direction. Itcan be seen from FIG. 19 that the contacting end surfaces 51 do notinterfere with the end surfaces of the side walls of the second cavity23.

FIG. 20 is a schematic view of the handle assembly when the indicator 6is outside the elastic portion 5 and the first handle 1 is pressed,according to the second embodiment. FIG. 21 is a section view of FIG. 19along D2-D2 direction. It can be seen from FIG. 22 that, as thecontacting end surfaces 51 do not interfere with the end surfaces of theside walls of the second cavity 23, the elastic portion 5 will at leastpartially enter into the second cavity 23 and will not be in contactwith the second handle 2, thereby not pushing the second handle 2 tofire the stapler.

FIG. 22 is a schematic view of the handle assembly when the indicator 6is inside the elastic portion 5 and the first handle 1 is not pressed,according to the second embodiment. At this time, the elastic portion 5is in the extended state, and the first handle 1 is in its initialposition. FIG. 23 is a section view of FIG. 2 along D3-D3 direction. Itcan be seen from FIG. 23 that the contacting end surfaces 51 interferewith the end surfaces of the side walls of the second cavity 23 to acertain extent.

FIG. 24 is a schematic view of the handle assembly when the indicator 6is inside the elastic portion 5, and the first handle 1 is pressed,according to the second embodiment of the present disclosure. At thistime, the elastic portion 5 is in the extended state. FIG. 25 is asection view of FIG. 24 along D4-D4 direction. It can be seen from FIG.25 that, for the reason that the contacting end surfaces 51 of theelastic portion 5 interfere with the end surfaces of the side walls ofthe second cavity 23, when the elastic portion 5 is moved, the elasticportion 5 won't enter into the second cavity 23, and the contacting endsurfaces 51 will push the second handle 2. Therefore, the second handle2 is moved along with the first handle 1 to the firing position, therebyto fire the stapler.

Third Embodiment

FIGS. 26-27 are schematic views of a handle assembly according to thethird embodiment. The difference between the third embodiment and theabove two embodiments are that, the elastic portion 83 is an independentsolid elastic sheet. FIG. 26-27 only schematically show the influence bythe solid elastic sheet on the linkage relationship between the firsthandle and the second handle. As shown in FIG. 26, when the elasticportion 83 is in the first state, the elastic portion 83 will notinterfere with the second handle 82. Therefore, when the first handle 82is moved (to a position shown in dotted lines in FIG. 26), the elasticportion 83 can be moved along an outer surface of the second handle 82.Therefore, the first handle 81 is not linked with the second handle 82.

As shown in FIG. 27, when the elastic portion 83 is in the second state,the indicator (not shown in FIG. 27) pushes the elastic portion 83 tobend towards one side, and interfere with the second handle 82. When thefirst handle is moved (to a position shown in dotted lines in FIG. 27),the end portion of the elastic portion 83 will be in contact with thesecond handle 82, to move the second handle 82 (to a position shown indotted lines in FIG. 27). When the indicator no longer pushes theelastic portion 83, the elastic portion 83 is returned to its initialstate by its own elastic force, thereby no longer interfering with thesecond handle 82. Under this situation, it's also possible that thesecond handle 82 is not provided the second cavity, and the first handle81 is not provided with the first cavity.

In the third embodiment, it's only necessary to link the second handle81 with the staple pushing rod of the circular stapler. When the secondhandle 81 is not moved, the staple pushing rod will not be pushed, andwhen the second handle 81 is moved, the stapler pushing rod is pushed tofire the stapler.

Fourth Embodiment

FIGS. 28-33 schematically show the structure and working process of ahandle assembly according to the fourth embodiment. The differencebetween the fourth embodiment and the first embodiment is that the firsthandle 1 is not provided with the elastic portion, but a slider 91 and aslot 17. The slot 17 includes a first section and a second sectionconnected with each other, and the slider 91 is slidably located in theslot 17. When the second end 42 of the indicator 4 is moved from thefirst position area to the second position area, the slider 91 is movedfrom the first section to the second section of the slot 17. The secondhandle 2 includes a handle guiding portion 26.

As shown in FIGS. 28-30, the first handle 1 includes a first cavity 13having two side walls. The slider 91 includes two siding portions 91 onthe two ends thereof, a slider guiding portion 912 in between and alimit portion 331 for a torsion spring. A return torsion spring 16 forthe slider is provided in the limit portion 331. When the slider ismoved from the first section to the second section of the slot 17, thereturn torsion spring 16 for the slider is deformed.

FIG. 31 shows the structure of the handle assembly in an invalid state.At this time, the second end 42 of the indicator 4 is not pulled by thepulling sheet, and outside the area L indicating the stapler being readyto be fired, the slider 91 is in the first section of the slot 17, andthe slider guiding portion 912 of the slider 91 will not interfere withthe second handle 2. When the first handle 1 is rotated anticlockwise,the first handle 1 and the second handle 2 are not linked, therefore,the second handle 2 is still in its initial position and not rotated. Atthis time, the first handle 1 can be pressed by the operator withoutfiring the stapler, and the operator can also know the stapler is in theinvalid state and not fired, according to the magnitude of his holdingforce.

It should be noted that, the first section and the second section of theslot 17 in the present disclosure are only relative concepts. As shownin FIGS. 28-33, the first section of the slot 17 is on the right side ofthe second section of the slot 17.

FIGS. 32 and 33 show the structure of the handle assembly in a firingstate. At this time, the second end 42 of the indicator 4 is pulled bythe pulling sheet to enter into the area L indicating the stapler beingready to be fired, and the first end 41 of the indicator 4 actuates theslider 91 to move towards the second section of the slot 17. Therefore,the slider guiding portion 912 will interfere with the second handle 2.

At this time, when the first handle 1 is pressed to rotateanticlockwise, the slider guiding portion 912 will actuate the secondhandle 2 to rotate anticlockwise, along with the first handle 1. Thesecond end 22 of the second handle 2 pushes the staple pushing rod tofire the stapler. When the pulling sheet is departed from the indicator4, the indicator 4 is returned to its initial position by the returntorsion spring for the indicator (not shown in the FIGS.), and theslider 91 is returned by the return torsion spring 16 for the slider.The returning processes of the first handle 1 and the second handle 2are the same with those in the first embodiment, and will not berepeated here.

Fifth Embodiment

FIGS. 33-35 show the structure and working process of a handle assemblyaccording to a fifth embodiment. The differences between the fifthembodiment and the fourth embodiment are that, the slot 27 is providedon the second handle 2, the first section of the slot 27 is on a leftside of the second section, and the first handle 1 is provided with ahandle guiding portion (not shown in the FIGS.). The slider 92 isconnected to the first end 41 of the indicator 4 by a rod 93, and thefirst end 41 of the indicator 4 can be rotated around the second end 42by the pulling sheet. The indicator 4 is provided with a groove 44 forthe rod, in which the first end 931 of the rod 93 is slidably located.The second end 932 of the rod 93 is connected to the slider 92 through aconnecting pin 921 to pass the force from the indicator 4 to the slider92. Similarly, the second handle 2 includes a second cavity having twoside walls, on which two slots 27 are provided, respectively. The slider92 includes two sliding portions on both sides and a slider guidingportion (not indicated in the FIGS.) in between. The sliding portions ofthe slider 92 are inserted in the two slots 27, respectively. A returntorsion spring for the slider is further provided between the slider 92and the first handle 1, to return the slider 92. The first torsionspring 15 can also be directly used as the return torsion spring for theslider 92.

FIG. 35 shows the structure of the handle assembly in the invalid state,according to the fifth embodiment. At this time, the first end 41 of theindicator 4 is not forced by the pulling sheet and outside the area Lindicating the stapler being ready to be fired. The rod 93 has no forceon the slider 92, and the slider 92 is in the first section of the slot27. When the first handle 1 is rotated, the second handle 2 is notlinked, thereby will not fire the stapler.

FIG. 36 shows the structure of the handle assembly in the firing stateaccording to the fifth embodiment. At this time, the first end 41 of theindicator 4 is pulled by the pulling sheet to enter into the area Lindicating the stapler being ready to be fired. The indicator 4 movesthe slider 92 though the rod 93, from the first section to the secondsection of the slot 27. The slider guiding portion interferes with thefirst handle 1. When the first handle 1 is rotated anticlockwise, it isin contact with the slider guiding portion to rotate the second handle 2anticlockwise, and the second end 22 of the second handle 2 pushes thestaple pushing rod to fire the stapler. When the pulling sheet isdeparted from the indicator 4, and the indicator 4 is returned to itsinitial position by the return torsion spring for the indicator (notshown in the FIGS.), the slider 92 will be pushed to return by thereturning force of the return torsion spring for the slider. Thereturning processes of the first handle 1 and the second handle 2 arethe same with those in the first embodiment, and will not be repeatedhere.

Sixth Embodiment

FIG. 37 is a schematic view of a handle assembly according to the sixthembodiment. The differences between the sixth embodiment and the fourthembodiment are that, the first handle 1 and the second handle 2 in thefourth embodiment rotate around two rotation centers while the firsthandle 1 and the second handle 2 in the sixth embodiment rotate aroundone rotation center. The first handle 1 and the second handle 2 in thefourth embodiment rotate around the first pin 14 and the second pin 24,respectively, while in the sixth embodiment, the first handle 1 and thesecond handle 2 are both rotated around the first pin 14. In the sixthembodiment, the first handle 1 and the second handle 2 are both sleevedon the first pin 14, the first torsion spring 15 is sleeved on the firstpin 14, and two ends of the first torsion spring 15 are in contact withthe second handle 2 and the casing of the stapler, to provide thereturning force for the second handle 2. To realize the returning of thefirst handle 1, a second pin 24 fixed to the casing of the stapler isfurther provided, on which the second torsion spring 25 is sleeved on.The two ends of the second torsion spring 25 are in contact with thefirst handle 1 and the casing of the stapler, to provide the returningforce for the first handle 1. When the first handle 1 is rotated, thesecond torsion spring 25 is deformed, and when the second handle 2 isrotated, the first torsion spring 15 is deformed. The other technicalfeatures and other working processes of the sixth embodiment are thesame with those in the first embodiment, and will not be repeated here.

The present disclosure further provides a stapler including the handleassembly. When the stapler is not ready to be fired, the first handlewon't actuate the second handle, thereby will not fire the stapler. Thedoctor can also judge whether the stapler is fired or not according tohis operation experience. Only when the stapler is ready to be fired,the movement of the first handle can actuate the second handle to firethe stapler. Therefore, the stapler is prevented from being fired bymistake, and the casing of the stapler is prevented from being cracked.

The handle assembly and the stapler including the same has the followingadvantages.

In the present disclosure, the handle assembly includes a first handleand a second handle, and only the movement of the second handle can firethe stapler to cut and suture tissues; during operation, the firsthandle can be pressed by the doctor to move no matter whether thestapler is ready to be fired or not, while, the stapler cannot be firedby the first handle through the second handle when the stapler is notready to be fired. The doctor can judge whether the stapler is ready tobe fired or not according to his operation experience. The stapler canonly be fired by the first handle through the second handle when thestapler is ready to be fired. The casing can be prevented from beingcracked by pressing the handle vigorously, and the operators' experienceis improved.

The above is a detailed description of the present disclosure inconnection with the specific preferred embodiments, and the specificembodiments of the present disclosure are not limited to thedescription. Modifications and substitutions can be made withoutdeparting from the spirit and scope of the present disclosure.

What is claimed is:
 1. A handle assembly for firing a stapler,comprising a first handle and a second handle, wherein, the first handleis rotatable relative to the second handle, and the first handle and thesecond handle have an un-linked state and a linked state; when the firsthandle and the second handle are in the un-linked state, and the firsthandle is rotated in a first direction, the second handle is notrotated, and the stapler is configured not to be fired; when the firsthandle and the second handle are in the linked state, and the firsthandle is rotated in the first direction, the second handle is rotatedalong with the first handle in the first direction, to fire the stapler.2. The handle assembly according to claim 1, wherein, a first end of thefirst handle is a holding portion, a second end of the first handle isrotatably connected to a first end of the second handle; when the secondhandle is rotated in the first direction, a second end of the secondhandle is configured to push a staple pushing rod of the staple, to firethe stapler.
 3. The handle assembly according to claim 1, wherein, thefirst handle and the second handle are rotated around a same center, or,the first handle and the second handle are rotated around two centers,respectively.
 4. The handle assembly according to claim 1, furthercomprising: an indicator, movable between a first position area and asecond position area; and an elastic portion provided on the firsthandle, the elastic portion having a first state and a second state,when the indicator is moved from the first position area to the secondposition area, the indicator being in contact with the elastic portionto actuate the elastic portion to switch from the first state to thesecond state; wherein, when the elastic portion is in the first state,and the first handle is rotated in the first direction, the elasticportion is not in contact with the second handle, and the second handleis in an insurance position; when the elastic portion is in the secondstate, and the first handle is rotated in the first direction, theelastic portion is in contact with the second handle to move the secondhandle from the insurance position to a firing position.
 5. The handleassembly according to claim 1, wherein, the indicator is connected to adistal end of a pulling sheet, a proximal end of the pulling sheet issleeved on a screw rod, a distal end of the screw rod is provided with aknob, when the knob is rotated to move the pulling sheet towards aproximal end of the stapler, the pulling sheet actuates the indicator tomove from the first position area to the second position area.
 6. Thehandle assembly according to claim 1, wherein, the first handle isrotatably connected to the second handle through a first pin, and thesecond handle is rotatably connected to a casing of the stapler througha second pin.
 7. The handle assembly according to claim 6, wherein, afirst torsion spring and a second torsion spring are sleeved on thefirst pin and the second pin, respectively, two ends of the firsttorsion spring are in contact with the first handle and the secondhandle, respectively, two ends of the second torsion spring are incontact with the second handle and the casing of the stapler.
 8. Thehandle assembly according to claim 4, wherein, the elastic portioncomprises an elastic cavity having two side walls and having acontracted state and an extended state; when the indicator is move fromoutside to inside of the elastic cavity, the elastic cavity is actuatedto switch from the contracted state to the extended state.
 9. The handleassembly according to claim 8, wherein, a first end of the second handleis provided with a second cavity having two side walls; when the firsthandle is rotated in the first direction, and the elastic cavity is inthe contracted state, the elastic cavity is configured to at leastpartially enter into the second cavity; when the first handle is rotatedin the first direction, and the elastic cavity is in the extended state,end surfaces of the side walls of the elastic cavity are in contact withthose of the second cavity, to prevent the elastic portion fromcontinuing to enter into the second cavity.
 10. The handle assemblyaccording to claim 9, wherein, the end surfaces of the side walls of theelastic cavity are first guiding surfaces, having an angle less than 90°relative to the side walls of the elastic cavity, and the end surfacesof the side walls of the second cavity are second guiding surfacesparallel to the first guiding surfaces.
 11. The handle assemblyaccording to claim 8, wherein, the elastic cavity comprises a contactingsection, a protruding section and a guiding section, the protrudingsection is located between the contacting section and the guidingsection, a distance between side walls of the protruding section is lessthan a width of the indicator, and a distance between side walls at anend of the guiding section is larger than the width of the indicator, toguide the indicator to enter into the protruding section.
 12. The handleassembly according to claim 11, wherein, the contacting section, theprotruding section and the guiding section of the elastic cavity form anintegrated body, and the side walls of the elastic cavity smoothlytransit from the protruding section to the guiding section.
 13. Thehandle assembly according to claim 8, wherein, a second end of the firsthandle is provided with a first cavity, the first cavity and the elasticcavity form an integrated body and are connected with each other. 14.The handle assembly according to claim 8, wherein, the elastic cavitycomprises a contacting section and an elastic section, a second end ofthe first handle is provided with a first cavity, the elastic section isinserted into the first handle, while end surfaces of side walls at thecontacting section are located outside the first cavity; when theindicator is moved from the outside to the inside of the elasticsection, the side walls at the elastic section and the contactingsection are all extended towards both sides.
 15. The handle assemblyaccording to claim 14, wherein, the elastic cavity further comprises aconnecting section, the elastic section is located between thecontacting section and the connecting section, the connecting section isinserted into the first cavity, and the connecting section is fixed tothe first cavity through a fastener.
 16. The handle assembly accordingto claim 8, wherein, the indicator is rotatably fixed to inside of acasing of the stapler, the indicator is rotated from the outside to theinside of the elastic cavity in a second direction, which is in contraryto the first direction.
 17. The handle assembly according to claim 1,wherein, the elastic portion comprises an elastic sheet, when theindicator is moved from the first position area to the second positionarea, the elastic sheet is pushed by the indicator to incline towardsone side, therefore, when the first handle is rotated in the firstdirection, the elastic sheet is in contact with the second handle. 18.The handle assembly according to claim 1, wherein, the first handlecomprises a first cavity having two side walls, the handle assemblyfurther comprises: an indicator, movable between a first position areaand a second position area; two slots, provided on the first handle andon the two side walls of the first cavity, respectively, each of theslot having a first section and a second section connected with eachother; and a slider, having two sliding portions corresponding to thetwo slots and a slider guiding portion in between, the two slidingportions slidably inserted in the corresponding slot, and a returntorsion spring for the slider provided between the slider and the secondhandle; when the indicator is moved from the first position area to thesecond position area, the slider configured to move from the firstsection to the second section of the slot, to deform the return torsionspring; wherein, when the slider is in the first section of the slot,and the first handle is rotated in the first direction, the slider isnot in contact with the second handle, and, the second handle is in aninsurance position; when the slider is in the second section of theslot, and the first handle is rotated in the first direction, the sliderguiding portion is in contact with the second handle and actuates thesecond handle to move from the insurance position to a firing position.19. The handle assembly according to claim 1, wherein, the second handlecomprises a second cavity having two side walls, the handle assemblyfurther comprises: an indicator, movable between a first position areaand a second position area; a rod having a first end connected to theindicator and a second end; two slots, provided on the two side walls ofthe second cavity, respectively, each of the slot having a first sectionand a second section connected with each other; and a slider, having twosliding portions corresponding to the two slots and a slider guidingportion in between, each of the sliding portions slidably located in thecorresponding slot, the slider connected to the second end of the rod,and a return torsion spring for the slider provided between the sliderand the first handle; when the indicator is moved from the firstposition area to the second position area, the slider configured to bemoved by the indicator, through the rod, from the first section to thesecond section of the slot, to deform the return torsion spring;wherein, when the slider is in the first section of the slot, and thefirst handle is rotated in a first direction, the first handle is not incontact with the slider, and the second handle is in an insuranceposition; when the slider is in the second section of the slot, and thefirst handle is rotated in the first direction, the first handle is incontact with the sliding portion and actuates the second handle to movefrom the insurance position to a firing position.
 20. (canceled)
 21. Astapler, comprising the handle assembly according to claim 1.